| Michaela Mondo, | |
|
6167 W Quaker St, Orchard Park, NY 14127-2640 | |
| (716) 662-4800 | |
| (716) 662-5700 |
| Full Name | Michaela Mondo |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6167 W Quaker St, Orchard Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033734116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 030938 (New York) | Secondary |
| 235Z00000X | Speech-language Pathologist | 41YS01257800 (New Jersey) | Primary |
| Provider Name | Expressable Therapy Of New Jersey Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811615685 PECOS PAC ID: 2062889512 Enrollment ID: O20221114000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Mondo, 4054 Capstone Cir, Williamsville, NY 14221-7389 Ph: (585) 330-9429 | Michaela Mondo, 6167 W Quaker St, Orchard Park, NY 14127-2640 Ph: (716) 662-4800 |
Mrs. Wendy Maureen Kilburn, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Linda Beyer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3580 Eggert Rd, Orchard Park, NY 14127 Phone: 716-209-6215 | |
Ms. Elizabeth P Hanson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Stacy Lynn Berchou, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Bridget Ann Palmer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Maureen Patricia Kicinski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 |